Help Wiggly Tails Dog Rescue (C.O.S.M.I.C. Club)

Wednesday, November 20, 2024
4:00 PM 5:00 PM 16:00 17:00

Springfield Public Library 225 5th St Suite 301 Springfield, OR 97477 United States (map)

Google Calendar ICS

At this event we will be making octopus-shaped tug toys for the dogs up for adoption at Wiggly Tails Dog Rescue. This event is a continuation of our new community-service focused program for middle schoolers called C.O.S.M.I.C. Club an acronym that stands for Community Opportunities for Service-minded Middle Schoolers Interested in Creating Change.

Snacks will be provided at this event and parental supervision is not required.

Name

First Name

Last Name

How many people will be in your party?

WAIVER

I, the undersigned and/or parent/guardian of the individual(s) indicated above, do hereby agree to indemnify and hold harmless Little Hands Can and its agent from and against any and all liability resulting from participation in the events listed above. I understand that the event(s) in which I and my child(ren) are enrolling, like all activity programs, has some inherent risk, for which I agree to assume the liability. Furthermore, the individuals indicated herein are in good health appropriate for the activities in which they will be participating. Public Health: I agree to follow all public health recommendations which may include mask wearing, social distancing, etc. I understand that these recommendations will be set by the organization with which we are volunteering and/or by public health authorities. Photo Release For Little Hands Can promotion purposes, photographs may be taken of participants. No names or any other identifying information will be shared if the photograph is used, unless requested. I hereby grant Little Hands Can permission to use my and my child(ren)'s likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based social media accounts, without payment or other consideration. If you do not wish to have your photo taken, please notify the photographer or LHC Representative at the event. Consent: I allow LHC to store my name and email to contact me regarding details for the event.

I agree to this form